Organization
BLOOMFIELD SENIOR LIVING OF LAKEWOOD, LLC
Active
Other names
Northwesterly Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KANTOR (DIRECTOR OF OPERATIONS)
(312) 854-7104
Entity
Organization
Contact information
Practice address
1341 MARLOWE AVE, LAKEWOOD, OH 44107-2654
(216) 228-2266
Mailing address
201 E OHIO ST, SUITE 302, CHICAGO, IL 60611-3629
(312) 854-7104
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2014R
OH
Other
Enumeration date
10/09/2009
Last updated
10/25/2010
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